Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ivan Nikiforov

Individual provider Hospitalist Physician · NPI 1205414687

Ivan Nikiforov is a Hospitalist in Lewistown, Pennsylvania. Qualified in 2014, 12 years ago. Practices with Geisinger Clinic, a 3,413-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
12
Licensed in
PA
In the registry since
2021
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Practice location Address checks out

400 Highland Ave
Lewistown, PA 17044-1167
Phone: (717) 248-5411
Fax: (717) 242-7581
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence MD491042 (PA)

Record details

NPI number1205414687
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 29, 2021
Last updated in NPPESAugust 15, 2025
Certification dateAugust 15, 2025
Mailing address100 N Academy Ave, Danville, PA 17822-4903

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPITALIST
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Geisinger Clinic — 3413 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lewistown